Massive Obstetric Hemorrhage - Health Research at Fernandez ...

Recommendations

Info

5000 4000 3000 2000 1000 Number of Maternal Deaths due 0 to Massive Haemorrhage: Nil 2830 Fernandez Hospital 3080 3342 3874 4408 4715 1 5 3 5 1 2 2003 2004 2005 2006 2007 2008 Deliveries
The Practice Point Active communication between the operating & anesthesia teams during the entire surgery Clin Perinatol 35 (2008) 519–529
Page 1 and 2:
Massive Obstetric Hemorrhage Manage
Page 3 and 4:
HOSPITAL Dedicated wholly to Women
Page 5 and 6:
Labour Epidural Analgesia Dedicated
Page 7 and 8:
Massive Obstetric Hemorrhage “Obs
Page 9 and 10:
Maternal mortality in India: WHO st
Page 11 and 12:
• 585000 maternal deaths per year
Page 13 and 14:
Obstetrical Hemorrhage Blood loss a
Page 15 and 16:
The position of a woman in any civi
Page 17 and 18:
Major Obstetric Haemorrhage As an A
Page 19 and 20:
Admission Conscious, incoherent D
Page 21 and 22:
Simultaneous Team Work History Taki
Page 23 and 24:
Emergency Treatment IM Carboprost
Page 25:
Lab Results Haemoglobin Undetectabl
Page 28 and 29:
SURVIVING BLOOD LOSS
Page 30 and 31:
Categorization of Acute Hemorrhage
Page 32 and 33:
Remember… Blood Loss % Loss Respo
Page 34 and 35:
Resuscitation • 2 large bore IV c
Page 36 and 37:
Targets of Resuscitation Mental sta
Page 38 and 39:
Platelet depletion Factor depletion
Page 40 and 41:
Obstetric Hemorrhage Pathophysiolog
Page 42 and 43:
Fluid Choices Fluid Type Comments N
Page 44 and 45:
Very important to maintain adequate
Page 46 and 47:
Severe Ongoing Hemorrhage Worsening
Page 48 and 49:
Aim to Maintain • Adequate intrav
Page 50 and 51:
The Trigger… Blood & Blood Compon
Page 52 and 53:
Diagnosis of Coagulopathy Activatio
Page 54 and 55:
Packed Cell Transfusion • PRB‟c
Page 56 and 57:
Intra - Op Findings • Uterus enla
Page 58 and 59:
Post Operative - Findings • Oozin
Page 60 and 61:
Post Op Period - Stormy Prevent MOD
Page 63 and 64:
Post Op Period Weaned off ventilato
Page 65 and 66:
Incidence PPH : 4 - 6 % of deliveri
Page 68 and 69:
Massage Uterus Protocol Soft Atonic
Page 70 and 71:
When Oxytocics Fail Medical managem
Page 72 and 73:
Choice of Procedure • Age & Parit
Page 74 and 75:
Uterine Tamponade • Gauge packing
Page 76 and 77:
Sengstaken Tube Condom Tamponade
Page 78 and 79: B Lynch 2 1
Page 80 and 81: Hayman‟s Sutures
Page 82 and 83: De-vascularization Uterine Ovarian
Page 84 and 85: Uterine / Ovarian Ligation
Page 86 and 87: 32 years, 2 nd Pregnancy • G 2 P
Page 88 and 89: 24 weeks, 4 am • Pain abdomen + b
Page 90 and 91: Blood loss ?
Page 92 and 93: Resuscitation Ongoing • Internal
Page 94 and 95: II Post Op Day • Re-laparotomy (
Page 96 and 97: Recombinant Factor VIIa • Life sa
Page 98 and 99: FVIIa boosts thrombin generation on
Page 100 and 101: Case 5 : Placenta Percreta with Mas
Page 102 and 103: Radiological Interventions: Adheran
Page 104: INFLATED BALLOON IN LEFT INTERNAL I
Page 110 and 111: Retaining Placenta: Our experience
Page 112 and 113: What Can be Done ? • Recognition
Page 114 and 115: Complications of Massive Blood Tran
Page 116 and 117: Recognition of Coagulopathy Anticip
Page 120 and 121: Protocol Prevention • Active mana
Page 122 and 123: • Call for help Communication Tea
Page 124: Early Warning Obstetric Chart
Page 127: 5000 4000 3000 2000 1000 0 Number o
Page 131: Life is no brief candle to me. It i
show all

Massive Obstetric Hemorrhage - Health Research at Fernandez ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?